Peachtree Family Medicine PC

NPI #1679608582 in Providence, Utah

Provider Information

NPI Number
1679608582
Entity Type
Organization
Organization Name
Peachtree Family Medicine PC
Primary Specialty
Family Medicine
Enumeration Date
Feb 22, 2007
Last Updated
Nov 6, 2024

Practice Location

Address
565 W 465 N STE 130
State
Utah
ZIP Code
84332-4802
Phone
(435) 752-5553

Authorized Official

Name
VERA B CARLSON, MD
Title
MD
Phone
(435) 752-5553

Specialties & Taxonomy Codes

Specialty
Family Medicine

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